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Health, Sickness and Medical Services in Spain's Armed Forces C View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central Medical History, 2006, 50: 325–350 Health, Sickness and Medical Services in Spain’s Armed Forces c.1665–1700 CHRISTOPHER STORRS* Introduction The early modern era saw important changes in the character of warfare in Europe, including the development of larger, permanent armies and navies. Historians have studied many key aspects of what some call the ‘‘military revolution’’,1 whose character and timing have become a matter of debate;2 but some important features of these emerging military communities remain largely unexplored. One subject which has not attracted the attention it merits is that of the health of soldiers and sailors and of medical provision in the new armies and navies. The issue has not been entirely neglected, either generally,3 or as it relates to specific states,4 but focused studies are rare.5 This is unfortunate, not least because of the importance attached to the issue of sickness and medical provision by contemporaries, and the value of medical provision as a sort of test case by which to measure the effectiveness of medical services and hence to contribute to the ‘‘military revolution’’ debate. For some historians the later seventeenth and eighteenth centuries saw # Christopher Storrs 2006 1500–1800: a source book, Manchester and Milton Keynes, Manchester University Press and the Open Christopher Storrs, PhD, Department of History, University, 2004, pp. 256–81. University of Dundee, Dundee DD1 4HN, UK; 4 For France, see Colin Jones, ‘The welfare of the e-mail: [email protected] French foot-soldier’, History, 1980, 65: 193–213; idem, The charitable imperative: hospitals and nursing in I wish to thank the Wellcome Trust for a grant which ancien regime and revolutionary France, London, allowed me to spend one month researching this subject Routledge, 1989; Lawrence Brockliss and Colin Jones, in Spain in the summer of 2002; and the anonymous The medical world of early modern France, Oxford, referees of this journal for their invaluable comments Clarendon Press, 1997, pp. 689–700; and Guy on an earlier version. I, of course, am responsible for Rowlands, The dynastic state and the army under Louis any remaining errors. XIV: royal service and private interest, 1661–1701, Cambridge University Press, 2002, pp. 97–8. For 1 See Geoffrey Parker, The military revolution: England, see Charles G Cruickshank, Elizabeth’s army, military innovation and the rise of the west 1500–1800, 2nd ed., Oxford, Clarendon Press, 1966, pp. 174–88; Cambridge University Press, 1988, passim. C R Butt, ‘Army medical services in 1644’, Journal of 2 See Clifford J Rogers (ed.), The military the Society for Army Historical Research (hereafter revolution debate: readings on the military JSAHR), 1957, 35: 135; R V Steele, ‘Marlborough’s transformation of early modern Europe, Boulder, CO, campaigns’, JSAHR, 1921, 1: 126; G E Gask, ‘A Westview Press, 1995. contribution to the care of the sick and wounded during 3 See Andrew Cunningham and Ole Peter Grell, The Marlborough’s march to the Danube in 1704 and at the four horsemen of the Apocalypse: religion, wars, battle of Blenheim’, Journal of the Royal Army Medical famine and death in Reformation Europe, Cambridge Corps, 1922, 4: 274–88; and David Stewart, ‘Some University Press, 2000, pp. 92–199; Ole Peter Grell, early military hospitals’, JSAHR, 1950, 28: 174–9. ‘War, medicine and the military revolution’, in Peter 5 Some general studies of early modern warfare do Elmer (ed.), The healing arts: health, disease and discuss medical provision and the need for it, see, for society in Europe, 1500–1800, Manchester and Milton example, Frank Tallett, War and society in early Keynes, Manchester University Press and the Open modern Europe, 1495–1715, London, Routledge, 1992, University, 2004, pp. 257–83; and Peter Elmer and Ole pp. 105–12. Peter Grell (eds), Health, disease and society in Europe, 325 Christopher Storrs the first significant efforts to develop a structure of military and naval hospitals;6 for others, however, the extent of illness and the inadequacy of medical support services before the French Revolutionary and Napoleonic era suggests that many states failed to meet the organizational challenge posed by the growth of standing armed forces in the sixteenth, seventeenth and eighteenth centuries.7 What follows is an investigation of the extent and nature of illness, and the effectiveness of medical provision in the armies and navies of one major player of the period, Spain in the reign of the last Habsburg, Charles II (1665–1700).8 In the sixteenth and early seventeenth century Spain dominated western Europe by means of its formidable fighting forces—above all its famous tercios—which benefited from the development of precocious support services, including military hospitals,9 in part in response to the way disease depleted those units.10 By the second half of the seventeenth century, however, Spain was in retreat, militarily and territorially, before the rising power of Louis XIV’s France. Unfortunately, but not entirely surprisingly, historians have shown little interest in Spain’s armed forces—and in their support services—in this phase of apparent ‘‘decline’’.11 Indeed, although what we might call civilian medicine and related topics in Charles II’s reign have attracted the attention of historians,12 military medicine in 6 Matthew Smith Anderson, War and society in Granada War (1482–92) were the first example of their Europe of the old regime, 1618–1789, London, kind, cited by A C W, ‘Medical care of soldiers’, Fontana, 1988, pp. 107–8. Anderson’s emphasis is on JSAHR, 1925, 4: 219. However, rather surprisingly, this eighteenth-century developments. aspect of Spain’s military establishment has not 7 See Juurgen€ Luh, Ancien regime warfare and the attracted the attention it merits. I A A Thompson, War military revolution: a study, Groningen, Instituut voor and government in Habsburg Spain, 1560–1620, Noord- en Oost-Europese Studies/Institute for London, Athlone Press, 1976, for example, does not Northern and Eastern European Studies, 2000, discuss medical services. Such neglect makes it the pp. 48–63. more difficult to compare the effectiveness of those 8 The medical history of the king himself has services before and after 1660. attracted some interest, see Ramo´n Garcı´a Arguuelles,€ 10 Charles V’s invasion force of Provence (1536) ‘Vida y figura de Carlos II el Hechizado’, II Congreso was halved by disease and desertion: James D Tracy, Espannol~ de Historia de la Medicina, Salamanca, 1965, Emperor Charles V, impresario of war, Cambridge vol. 2, pp. 199–232, and C Liso´n Tolosana, University Press, 2002, p. 112. ‘Exorcismos en el Alca´zar Real’, in idem, La Espanna~ 11 John Tate Lanning, The royal protomedicato: the mental, vol. 1: Demonios y exorcismos en los siglos de regulation of the medical profession in the Spanish oro, Los Berrocales del Jarama, 2 vols, Madrid, Akal, empire, with preface by J J Te Paske (Durham, NC, 1990, pp. 143–202. Duke University Press, 1985), largely ignores Spain 9 Geoffrey Parker, The army of Flanders and the itself (and Europe), Spain’s armed forces, and the later Spanish road, 1567–1659, Cambridge University seventeenth century; the same is true of Michael E Press, 1974, p. 167 (and passim); Marı´a Jose´ Rodrı´guez Burke, The Royal College of San Carlos: surgery and Salgado, Armada 1588–1988, London, Penguin Books, Spanish medical reform in the late eighteenth century, 1988, pp. 202–3; David Goodman, Power and penury: with foreword by John Tate Lanning, Durham, NC, government, technology and science in Philip II’s Duke University Press, 1977. Spain, Cambridge University Press, 1988, pp. 238–50. 12 See Jose´ Pardo Toma´s and Alvar Martı´nez Vidal, For the navy, see Carla Rahn Phillips, Six galleons for ‘El Tribunal del Protomedicato y los me´dicos reales the King of Spain: imperial defense in the early (1665–1724)’, Dynamis, 1996, 16: 59–90; Marı´a del seventeenth century, Baltimore and London, Johns Mar Rey Bueno and Marı´a Esther Alegre Pe´rez, ‘El real Hopkins University Press, 1986, pp. 177–80. laboratorio quı´mico (1693–1700)’, Dynamis, 1996, 16: According to W H Prescott (History of the reign of 261–90; and Soledad Campos, ‘Las enfermerı´as de Ferdinand and Isabella, 1882, vol. 1, p. 198), the field damas y criadas en la corte del siglo XVII’, Dynamis, hospitals provided by Ferdinand and Isabella during the 2002, 22: 59–83. 326 Sickness and Medical Services in Spain’s Armed Forces c. 1665–1700 the same era remains strikingly neglected.13 Yet Spain continued to maintain large numbers of men under arms—perhaps 100,000 in 1675—distributed among various armies: above all the Army of Flanders, the Army of Lombardy and the Army of Catalonia, the latter being the only one whose medical history in this period has attracted any real interest.14 These forces helped to ensure that Spain’s empire remained largely intact in 1700, on the eve of the War of the Spanish Succession (1701–13). The following pages seek to throw some light on the medical history and provision of the armies—and the navies—which contributed to the remarkable resi- lience of the Spanish empire, or monarchy, in this testing period in view of some of the problems identified above. This is no easy task. Military (and naval) hospitals in Spain are separately archived only from the eighteenth century. The historian seeking to reconstruct the medical services and associated subjects in Habsburg Spain is therefore obliged to rely on official material which covers a much larger and extremely diverse range of activities and institutions.
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